DONALD K BURDEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DONALD K

Last Name

BURDEN

Suffix

DDS

Business Name

DONALD K BURDEN DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2009

Expiration Date

09/30/2012

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012